SynthesisThe international journal of behavioral nutrition and physical activity2011
Effectiveness and cost-effectiveness of lifestyle interventions on physical activity and eating habits in persons with severe mental disorders: a systematic review.
Synthesis in The international journal of behavioral nutrition and physical activity, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
40 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Views and experiences of weight management for people living with mobility‑limiting conditions, intellectual disabilities or severe mental illness: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2026Pooled it
- EPA guidance on lifestyle interventions for adults with severe mental illness: A meta-review of the evidence.European psychiatry : the journal of the Association of European Psychiatrists · 2024Pooled it
- Cost-effectiveness analysis of physical activity interventions for people with schizophrenia or bipolar disorder: systematic review.The British journal of psychiatry : the journal of mental science · 2023Pooled it
- Prevalence of Overweight and Obesity in People With Severe Mental Illness: Systematic Review and Meta-Analysis.Frontiers in endocrinology · 2021Pooled it
- Pooled it
- Examining the cost effectiveness of interventions to promote the physical health of people with mental health problems: a systematic review.BMC public health · 2013Pooled it
- Increasing physical activity and healthy diet in outpatients with mental disorders: a randomized-controlled evaluation of two psychological interventions.European archives of psychiatry and clinical neuroscience · 2019Trial
- Effect of a Behavioral Weight Loss Intervention in People With Serious Mental Illness and Diabetes.Diabetes care · 2019Trial
- Factors Associated With Weight Intervention Participation Among People With Serious Mental Illness.The Journal of nervous and mental disease · 2018Trial
- Peer-led healthy lifestyle program in supportive housing: study protocol for a randomized controlled trial.Trials · 2015Trial
- Pragmatic replication trial of health promotion coaching for obesity in serious mental illness and maintenance of outcomes.The American journal of psychiatry · 2015Trial
- Cost-effectiveness of health promotion targeting physical activity and healthy eating in mental health care.BMC public health · 2014Trial
- Clinically significant improved fitness and weight loss among overweight persons with serious mental illness.Psychiatric services (Washington, D.C.) · 2013Trial
- Health promotion in individuals with mental disorders: a cluster preference randomized controlled trial.BMC public health · 2013Trial
- A behavioral weight-loss intervention in persons with serious mental illness.The New England journal of medicine · 2013Trial
- Health promotion intervention in mental health care: design and baseline findings of a cluster preference randomized controlled trial.BMC public health · 2012Trial
- 'It's a Balancing Act': A Qualitative Analysis of the Experiences of Caffeine Use in Individuals With Bipolar Disorder.Bipolar disorders · 2026Article
- Development and Evaluation of the "Eating More Consciously" Module of a Lifestyle Intervention Program to Prevent Medication-Induced Weight Gain in Psychiatric Patients: A One-Arm Pilot Study.Alpha psychiatry · 2024Article
- Nurse Counseling versus IEC Material on Maintenance of Healthy Lifestyle for Outpatients Receiving Antipsychotics: A Randomized Control Trial.Indian journal of psychological medicine · 2024Article
- Nationwide Evaluation of Quality of Care Indicators for Individuals with Severe Mental Illness and Diabetes Mellitus, Following Israel's Mental Health Reform.Community mental health journal · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is a high prevalence of overweight and obesity in persons with severe mental disorders and this has serious implications on the short and long term health outcomes of these patients. The aim of this review was to evaluate the effectiveness of lifestyle interventions targeting physical activity and eating habits in persons with severe mental disorders. Special attention was given if any of the included studies in the review also examined the cost-effectiveness of these health promotion interventions.
methodsA systematic search through the electronic databases Medline, Web of Science, CINAHL and Cohrane Library was conducted, and by hand-searching the reference lists of the retrieved articles from the electronic databases. Studies were included if they examined effectiveness and/or cost-effectiveness of lifestyle interventions targeting physical activity and eating habits in persons with severe mental disorders, with primary outcome changes in Body Mass Index and body weight.
resultsFourteen studies met the inclusion criteria. Weight loss and Body Mass Index decrease were observed in intervention groups in 11 studies. The difference in weight change between intervention and control groups was statistically significant in nine studies. Differences in mean Body Mass Index between intervention and control groups were statistically significant in eight studies. Five studies reported improvements in quality of life and general health. In none of the studies cost-effectiveness of lifestyle interventions was examined.
conclusionFurther research on both effectiveness and cost-effectiveness of lifestyle interventions targeting physical activity and eating habits in persons with severe mental disorders is required to assist in the development of new health promotion interventions in this population.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.